One of the things that we do to help decipher which doctor wrote the order is keep a list of doctors signatures with their names in print. We just run off a copy of an order and attach it to the list we already have. About once a year we re-copy and arrange all the signatues alphabetically again. (helps when adding in new doctors, especially the hospitalists!) I wish i could take credit for the idea, but it's still wonderful and helps out a lot. As far as reading the orders themselves, practice is the only thing that has helped me. I've been a unit coordinator for about a year now, and I can deciper about 95% of the handwriting (compared to maybe 20% when I was first hired). Just never be afraid to ask the doctor or a nurse to help figure it out. It's not such a big deal if you read something wrong, but it's huge if you enter in the wrong order.